person
Seiji Brock
Mental Health Counselor in Meridian, Idaho
NPI 1407322589

Seiji Brock is a Mental Health Counselor based in Boise, ID and is specialized in Mental Health. Seiji Brock practices in Meridian, ID. The NPI Number for Seiji Brock is 1407322589 and holds a License No. 6970 (Idaho).

The current practice location address for Seiji Brock is 1799 N Lakes Pl, Meridian, ID and can be reached out via phone at 208-888-5905. You can also correspond with Seiji Brock through the mailing address at 4552 N CITRUS AVE, BOISE, ID - 83713-9556 (mailing address contact number: 208-861-0233).

Location: 1799 N Lakes Pl, Meridian, ID, 83713-9556
person
Provider Profile Details
NPI Number
1407322589
Provider Name
Seiji Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1799 N Lakes Pl, Meridian, ID, 83713-9556
Phone Number
208-888-5905
Fax Number
Provider Enumeration Date
10/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1799 N Lakes Pl
City
State
Zip
83646-1833
Phone Number
208-888-5905
Fax Number
person
Provider Business Mailing Address Details
Address
1799 N Lakes Pl
City
State
Zip
83646-1833
Phone Number
208-888-5905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6970 (Idaho)
Definition
Definition to come...
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